Next-Generation Cancer Treatment Using Digital Twins

Authors

  • Behnam Babamiri
  • Nikta Taghipour
  • Nazanin Hashemi
  • Meisam Sargazi
  • Reyhane Nematollahi
  • Reyhaneh Mahbubi Arani
  • Zohreh Yousefian Zare
  • Ali Izadi
  • Sara Pouri
  • Zahra Sadin
  • Maryam Kholghi
  • Atie Moghtadaei
  • Ghazaleh Hafezi Bakhtiari
  • Darya Chamani
  • Mehdi Mohammadpour
  • Farhan Musaie
  • Anahita Heydari
  • Mahyar Davtalab
  • Mansoureh Fatahi
  • Sheida Khosravaniardakani
  • Mohsen Mohammadgholi
  • Saeedeh Aliakbari
  • Mehrdad Farrokhi
  • Masoud Farrokhi

Keywords:

Artificial Intelligence, Cancer Treatment, Digital Twins, Precision Oncology

Abstract

Cancer remains one of the most challenging diseases to treat because each patient’s tumor has unique genetic characteristics, biological behaviors, and responses to therapy. Traditional treatment approaches often rely on standardized protocols that may not work equally well for every individual. Digital twins are emerging as a promising technology that could transform cancer care by enabling personalized treatment planning, predicting therapeutic outcomes, and improving clinical decision-making. A digital twin is a virtual representation of a real-world object, system, or process that is continuously updated using relevant data. In cancer treatment, a patient-specific digital twin can integrate medical imaging, genomic information, electronic health records, laboratory results, and treatment history to create a computational model of the patient’s disease. Artificial intelligence (AI), machine learning, and advanced simulations can then help researchers and clinicians explore how the cancer might respond to different therapeutic strategies. One of the most significant advantages of digital twins is their potential to support personalized medicine. Before administering chemotherapy, radiotherapy, immunotherapy, or targeted drugs, clinicians could use a patient’s digital model to simulate possible treatment outcomes. Comparing different therapeutic options may help identify approaches that are more likely to control tumor growth while minimizing adverse effects. Digital twins could also support adaptive treatment by incorporating new clinical data and updating predictions as the disease evolves. Furthermore, digital twins may accelerate cancer research and drug development. Researchers could use virtual models to investigate tumor progression, study drug resistance, and evaluate combinations of therapies. These capabilities could improve the efficiency of clinical research and help generate hypotheses for future trials. In the longer term, integrating digital twins with wearable devices, remote monitoring systems, and real-time diagnostic technologies may enable more continuous assessment of patients’ health. Despite these opportunities, several challenges remain. Cancer is biologically complex, and accurately representing interactions among tumors, immune cells, organs, and treatments requires high-quality data and sophisticated models. Data privacy, interoperability, computational costs, and unequal access to advanced technologies are additional concerns. Digital twin predictions must also undergo rigorous clinical validation before being used to guide critical treatment decisions. In conclusion, digital twins represent an exciting frontier in next-generation cancer treatment. Although the technology is still developing and is not yet routinely used as a complete patient-specific cancer simulation, it offers substantial potential to make oncology more predictive, personalized, and responsive. Continued collaboration among clinicians, researchers, engineers, and data scientists will be essential to translate this innovation into safe and effective cancer care.

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Next-Generation Cancer Treatment Using Digital Twins

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2026-10-09

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